Individual
MR. MARK RICHARD MILLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
2920 WHITE BEAR AVE N, MAPLEWOOD, MN 55109-1304
(651) 251-9938
(651) 251-9944
Mailing address
1075 HIGHWAY 96 E, SAINT PAUL, MN 55127-2326
(651) 426-9225
(651) 429-4041
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
115766
MN
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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